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Diary of a Family Physician - Apr 15, 2021 - American Family Physician

Apr 15, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/0415/p462.html

Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ... Restricted content. Login required.

Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0201/p183.html

Visual Disturbance and Skin Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 15, 2021 - A patient presented with progressive bilateral visual blurring and a maculopapular rash on the trunk.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0315/p373.html

Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder -... Restricted content. Login required.

Mar 1, 2021 - Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p272.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: ...

Nov 15, 2020 - The USPSTF recommends behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/1115/od1.html

Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic - POEMs - American... Restricted content. Login required.

Apr 1, 2021 - Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief with surgery ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p439.html

HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive... Restricted content. Login required.

Mar 1, 2021 - HPV vaccination is associated with a significant reduction in the likelihood of invasive cervical cancer.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312.html

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ... Restricted content. Login required.

Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0115/p117.html

Tuberculosis, COPD, Pelvic Floor Muscle Training, Burns, Sepsis - AFP Clinical Answers ... Restricted content. Login required.

Apr 1, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0401/p403.html

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults - ... Restricted content. Login required.

Feb 15, 2021 - Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0215/p245.html

Bone Mineral Density Testing: One and Done - POEMs - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Rechecking bone mineral density (BMD) after three years does not add additional prognostic information. Serial BMD testing is not useful in estimating fracture risk and assessing the need for treatment because BMD does not change much within three years.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311.html

Screening for Unhealthy Drug Use: Recommendation Statement - U.S. Preventive Services ...

Jan 15, 2021 - The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2021/0115/p107.html

Topical and Device-Based Treatment of Toenail Onychomycosis - Cochrane for Clinicians -... Restricted content. Login required.

Feb 1, 2021 - Topical antifungal drugs, including efinaconazole 10% solution (Jublia), tavaborole 5% solution (Kerydin), and ciclopirox 8% lacquer and hydrolacquer, are beneficial in treating mild to moderate toenail onychomycosis. Potential adverse effects are mild and include dermatitis and vesicles.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0201/p145.html

Erosions and Vesicles in a Febrile Infant - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 1, 2021 - A five-month-old child with a history of dry skin presented with a spreading rash and fever.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0301/p305.html

Serum Lactate Testing to Predict Mortality in Patients with Sepsis - Diagnostic Tests: ... Restricted content. Login required.

Mar 1, 2021 - Management of patients with sepsis is challenging and mortality is high. Early diagnosis and prompt initiation of therapy are essential. Higher lactate levels correlate with increased risk of mortality, particularly with lactate levels greater than 4.0 mmol per L and in the setting of ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0301/p309.html

Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial ... Restricted content. Login required.

Mar 1, 2021 - A lower dose of edoxaban is effective in decreasing stroke and systemic embolism in older patients with atrial fibrillation compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312a.html

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical ... Restricted content. Login required.

Feb 15, 2021 - The Wilderness Medical Society has published updated guidelines for prevention, diagnosis, and treatment of exercise-associated hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p252.html

Twenty-Year Follow-Up of Women's Health Initiative Trials: Lower Breast Cancer ... Restricted content. Login required.

Jan 15, 2021 - The cumulative 20-year follow-up report from the Women's Health Initiative hormone therapy trials found significantly lower breast cancer incidence and mortality among postmenopausal women who previously took conjugated equine estrogen (CEE; Premarin) alone (with a prior hysterectomy) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od1.html

Platelet-Rich Plasma vs. Corticosteroids for Refractory Plantar Fasciitis - FPIN's ... Restricted content. Login required.

Mar 1, 2021 - Platelet-rich plasma injections are similar to corticosteroids for pain relief and improvement in function in patients with refractory plantar fasciitis lasting less than 12 weeks.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0301/p307.html

Metformin to Prevent Diabetes in Patients at Increased Risk - Cochrane for Clinicians -... Restricted content. Login required.

Nov 1, 2020 - In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p531.html

Depression, HPV Immunizations, Coccidioidomycosis, Upper GI Bleeding, Headaches - AFP ... Restricted content. Login required.

Mar 15, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0315/p333.html

Treatment of Distal DVT - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Vitamin K antagonists reduce the recurrence of DVT and VTE (number needed to treat [NNT] = 17; 95% CI, 13 to 48) but not pulmonary embolism (PE) compared with no anticoagulation or placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p18.html

Caring for the Physician Affected by Substance Use Disorder - Curbside Consultation - ... Restricted content. Login required.

Mar 1, 2021 - A 34-year-old physician, H.M., is an established patient in my practice. H.M. presents for a follow-up visit after finishing inpatient treatment for opioid use disorder.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0301/p302.html

Better Primary Care Continuity Is Associated with Lower Mortality Risk - POEMs - ... Restricted content. Login required.

Mar 1, 2021 - Most studies in this systematic review found a protective effect of greater primary care continuity and all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311a.html

Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema - POEMs - ... Restricted content. Login required.

Feb 15, 2021 - Adding compression to patient education reduces the likelihood of recurrent cellulitis in patients with chronic leg edema.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p247.html

Severely Pruritic, Whip-like Dermatitis - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 15, 2021 - A patient presented with fever, headache, cough, sore throat, and a widespread pruritic rash two days after ingestion of shiitake mushrooms.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0215/p243.html

Screening for Cervical Intraepithelial Neoplasia with Patient-Collected HPV Samples - ... Restricted content. Login required.

Feb 1, 2021 - How useful are patient-collected human papillomavirus vaginal swabs as a screening test for cervical intraepithelial neoplasia?

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0201/p181.html

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.html

Antidepressants for Older People, Point-of-Care Ultrasonograpy, BRCA Testing, ... Restricted content. Login required.

Mar 1, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0301/p270.html

Negative Colonoscopy Result Predicts No Colon Cancer for More Than 10 Years - POEMs - ... Restricted content. Login required.

Feb 15, 2021 - Following a high-quality colonoscopy (adequate bowel preparation, full visualization, and high rates of detection by the colonoscopist), patients at average risk with no neoplasm found on examination had the same rate of developing colorectal cancer or dying from it in the 10- to ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p247a.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Systemic Racism and Health Disparities: A Statement from Editors of Family Medicine ...

Jan 1, 2021 - The editors of several North American family medicine publications have come together to address a call to action for family medicine to confront systemic racism and health disparities and share resources on racism across our readerships.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0101/p10.html

Breast Cancer Screening, Plantar Warts, IUD Insertion, Osteoporosis, Anal Fissures - ... Restricted content. Login required.

Feb 15, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0215/p207.html

Preoperative Evaluation and Frailty Assessment in Older Patients - Lown Right Care: ... Restricted content. Login required.

Dec 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/1215/p753.html

Bariatric Surgery Associated with Decreased All-Cause Mortality and Lower Rates of ... Restricted content. Login required.

Feb 15, 2021 - Based on population registry data, bariatric surgery is associated with lower all-cause mortality and a lower risk of developing many subsequent obesity-related conditions.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p248.html

Fever and Rash After Travel to the Philippines - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 15, 2021 - A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0115/p113.html

Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from ... Restricted content. Login required.

Dec 1, 2020 - The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low back pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1201/p697.html

COVID-19, Scoliosis, Muscle Weakness, Preterm Birth, Fecal Incontinence - AFP Clinical ... Restricted content. Login required.

Jan 15, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0115/p78.html

Exercise vs. No Exercise for the Occurrence, Severity, and Duration of Acute ... Restricted content. Login required.

Feb 1, 2021 - For adults, regular exercise may reduce the overall severity of acute respiratory tract infections and the number of days with symptoms, but there is no evidence that exercise reduces the overall occurrence or duration of these infections.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0201/p144.html

Primary Care Clinicians Can Effectively Treat Depression in Children and Adolescents - ...

Aug 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0815/p198.html

Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone - POEMs -... Restricted content. Login required.

Feb 15, 2021 - For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p249.html

Diary of a Family Physician - Feb 15, 2021 - American Family Physician

Feb 15, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/0215/p240.html

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1201/od2.html

Symphysiotomy for Shoulder Dystocia - Letters to the Editor - American Family Physician

Feb 1, 2021 - Letter to the Editor explaining the reasons why symphysiotomy may be lifesaving for the baby, the mother, or both.

American Family Physician : Letter

https://www.aafp.org/afp/2021/0201/p136.html

C. difficile, Migraines, Gastrointestinal Bleeding, Reducing Falls, Neurologic ... Restricted content. Login required.

Feb 1, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0201/p143.html

Acute Diverticulitis: Identifying Patients Unlikely to Have Complications - ... Restricted content. Login required.

Oct 15, 2020 - Can a clinical prediction rule accurately identify patients at low risk of complicated acute diverticulitis, defined as diverticulitis accompanied by abscess or peritonitis?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/1015/p495.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.html

Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children - ... Restricted content. Login required.

Jan 1, 2021 - This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0101/od1.html

Widening Disease Definitions: What Can Physicians Do? - Editorials - American Family ...

Feb 1, 2021 - Disease definitions are often broadened over time to include milder and earlier cases. A strong driver for such definitional changes is the belief that they will benefit patients by preventing more severe disease or future complications.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0201/p138.html

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